Incident investigation·October 10, 2024

On 10/10/2024 at 1:55 pm, Licensing Program Analysts (LPAs) Gabriela Hernandez and Anastasia Flores conducted an unannounced case management visit in regard to an unusual incident report received on 10/10/2024 from Program Director Jean Espino. Program Director provided copy of UIR while LPA\342\200\231s were on site completing annual inspection for school age and infant program. Per incident report, Child 1 (C1) sustained an injury on 10/09/2024. LPAs interviewed S1 in the classroom where the incident occurred. Per S1, C1 was climbing on the box that stores all the emergency equipment. The emergency box is located at the entrance of the classroom. Per S1, C1 was facing the wall while standing on the box. Per S1, S3 had observed child standing on the box, simultaneously observed another child that was attempting to help C1 get down, when C1 fell on his back. C1 was comforted by teachers that were present. S1 stated they checked for any swelling and bruising, but did not see any on C1. Per S1, parents were notified of the incident. Per S1, incident occurred prior to lunch and nap time. Per S1, C1 is usually fussy around nap time so they were unsure if it was from the nap time or due to the fall. Per S1, C1 fell asleep, and they were checking on him constantly. Per S1, C1 woke up from the nap and they noticed he was still fussy. Per S1, they contacted parents to pick up C1. Program Director provided LPA with a copy of the ouch report confirming parents were notified. On 10/10/24, parents of C1 contacted the center and confirmed C1 had sustained a closed fracture below their shoulder. Per Program Director, C1 has not retuned to school and they have follow up meeting with parents today. Program Director confirmed they will update LPA with any updates. Based on all the information obtained by LPAs, there did not appear to be any violations of Title 22 Regulations pertaining to the reported incident. An exit an interview was conducted. A copy of this report and appeal rights were provided at the time visit. A notice of site visit was given and shall remain posted for 30 days.